摘要
目的:探讨养老机构冠心病病人疾病认知影响因素,为针对性护理干预提供参考。方法:2021年9月—2022年3月,选取河北省7所养老机构的414例冠心病病人为研究对象,采用一般资料调查表、简版冠心病教育问卷、老化期望量表、Tilburg衰弱量表和老年抑郁量表进行调查,并进行相关性分析及影响因素分析。结果:养老机构冠心病病人疾病认知得分为(11.66±3.40)分;单因素分析结果显示,年龄、文化程度、职业、人均月收入、家人探望频率、养老机构是否医养结合、娱乐活动开展情况、养老机构医疗康复情况、抑郁和衰弱对养老机构冠心病病人疾病认知均有影响(P<0.05);Pearson相关分析结果显示,养老机构冠心病病人老化期望与疾病认知呈正相关(r=0.423,P<0.05),衰弱、抑郁与疾病认知呈负相关(r=-0.509,P<0.05;r=-0.335,P<0.05);多元线性回归结果显示,文化程度、人均月收入、医养结合、医疗康复情况、衰弱和老化期望是养老机构冠心病病人疾病认知的影响因素(P<0.05),共解释总变异的66.0%。结论:文化程度、人均月收入、医养结合、医疗康复情况、衰弱和老化期望是养老机构冠心病病人疾病认知的影响因素,应采取针对性措施提升老年人疾病认知水平。
Objective:To explore the influencing factors of disease cognition of patients with coronary heart disease(CHD) in nursing homes and to provide a reference for targeted nursing intervention. Methods:From September 2021 to March 2022,a total of 414 CHD patients in 7 nursing homes in Hebei province were selected as the research subjects. The general information questionnaire,a short version of the coronary artery disease education questionnaire(CADE-Q SV),the 38-item expectations regarding aging(ERA-38),the Tilburg Frailty Indicator(TFI),and the Geriatric Depression Scale(GDS) were used to conduct the survey. The correlation and influencing factors were analyzed. Results:The cognition score of CHD patients in nursing homes was(11. 66±3. 40) points. Single factor analysis showed that patients with different ages,education levels,occupations,per capita monthly income,frequency of family visits,whether integrated eldercare services with medical care,entertainment activities status,medical rehabilitation status,depression,and frailty were statistically significantly different in disease cognition(P<0. 05). Pearson correlation analysis showed that aging expectations of CHD patients in nursing homes were positively correlated with disease cognition(r=0. 423,P<0. 01);frailty and depression were negatively correlated with disease cognition(r=-0. 509,P<0. 01;r=-0. 335,P<0. 01). Multiple linear regression showed that education level,per capita monthly income,integrated eldercare services with medical care,medical rehabilitation status,frailty,and aging expectations were the influencing factors of disease cognition of CHD patients in nursing homes(P<0. 05),which explained 66. 0% of the total variance. Conclusions:Education level,per capita monthly income,integrated eldercare services with medical care,medical rehabilitation status,frailty,and aging expectations were the influencing factors of disease cognition of CHD patients in nursing homes. Targeted measures should be taken to improve the disease cognition level of the elderly.
作者
郭雪琪
胡惠菊
唐启群
杨娇
沈天舒
王骞
GUO Xueqi;HU Huiju;TANG Qiqun;YANG Jiao;SHEN Tianshu;WANG Qian(College of Nursing and Rehabilitation,North China University of Science and Technology,Hebei 063210 China)
出处
《护理研究》
北大核心
2023年第4期608-613,共6页
Chinese Nursing Research
基金
河北省社会科学基金项目,编号:HB22RK004。
关键词
老年人
养老机构
冠心病
疾病认知
老化期望
衰弱
抑郁
护理
elderly
nursing homes
coronary heart disease
disease cognition
aging expectations
frailty
depression
nursing
